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Organization

OPTIMALCARE REHAB,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VILMA FUENTES PT,DPT (PHYSICAL THERAPIST)
(808) 321-6280
Entity
Organization

Contact information

Practice address
1712 LILIHA ST STE 302, HONOLULU, HI 96817-3100
(808) 321-6280
Mailing address
1712 LILIHA ST STE 302, HONOLULU, HI 96817-3100
(808) 321-6280

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2421
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578609897
HMSA PROVIDER NUMBER 00A0251718
HI
01
1578609897
HMSA PROVIDER NUMBER 00A0251718
Enumeration date
04/07/2017
Last updated
04/07/2017
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